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What is one positive aspect of Parkinson disease?
- A. The disease does not alter ability to communicate.
- B. Anti-Parkinson drugs have few side effects.
- C. Intellectual function is not impaired.
- D. Involuntary movements can be controlled.
Correct Answer: C
Rationale: Parkinson disease does not impair the intellect. The disease does alter the ability to communicate. Anti-Parkinson drugs have many side effects. The involuntary movements associated with the disease cannot be controlled.
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What is a major difference between rheumatoid arthritis and osteoarthritis?
- A. Rheumatoid arthritis is degenerative.
- B. Rheumatoid arthritis only affects patients over 40 years of age.
- C. Rheumatoid arthritis is inflammatory.
- D. Rheumatoid arthritis is curable.
Correct Answer: C
Rationale: Rheumatoid arthritis is an inflammatory disease; osteoarthritis is degenerative. Rheumatoid arthritis can affect patients at any age. Neither type of arthritis is curable.
When communicating with an older adult patient, the nurse becomes aware of the fact that the patient is well satisfied with his accomplishments over a lifetime and has no regrets concerning aging. Which of Erikson's developmental stages has the patient achieved?
- A. Acceptance
- B. Withdrawal
- C. Ego integrity
- D. Interaction
Correct Answer: C
Rationale: The last stage of life is acceptance of life and it results in ego integrity.
The nurse reminds the 80-year-old patient that her respiratory system has decreased resistance to respiratory infections. For what is this patient at increased risk?
- A. COPD
- B. Bronchitis
- C. Pneumonia
- D. Atelectasis
Correct Answer: C
Rationale: Decreased resistance to respiratory infections places older adults at higher risk for pneumonia.
The older adult patient complains to the nurse about nocturia. This problem is most likely related to:
- A. loss of bladder tone.
- B. decrease in testosterone.
- C. decrease in bladder capacity.
- D. intake of caffeine.
Correct Answer: C
Rationale: At least 50% of older men and 70% of older women must get up two or more times during the night to empty their bladders, a condition known as nocturia (excessive urination at night). The most significant age-related change is the decrease in bladder capacity.
Which statements are myths that have been disproved concerning aging?
- A. All older adults are senile.
- B. Most older adults live in their own homes.
- C. Older adults are poor.
- D. Older adults have frequent contact with family members.
- E. Older adults are disabled.
Correct Answer: A,C,E
Rationale: All older adults are not senile; this is a myth. Mental decline is not inevitable. Older adults are not all poor, this is a myth. Older adults have a lower poverty rate than younger adults. Older adults are not all disabled; this is a myth. Most are able to manage their own care. Most older adults do live in their own homes and have frequent contact with family members.